NBME Psychiatry Shelf Exam – Flashcards
Unlock all answers in this set
Unlock answersquestion
Antisocial PD - Must be > ___ years old
answer
15
question
___ side-effect (long-term tx): hypothyroidism
answer
lithium
question
Acute stress disorder: ___ days - __ weeks after life is in jeopardy.
answer
2, 4
question
Adjustment disorder: Within ___ months of life stressor, dissipating at ___ months.
answer
3, 6
question
Akathisia is a s/e of neuroleptics or prochlorperazine. Prevented by concurrent administration of ___
answer
IV benzo
question
Rett syndrome: Age-appropriate development for 1st ___ months (at least).
answer
5
question
3 long-lasting (depot) antipsychotics:
answer
haloperidol, fluphenazine, risperidone
question
Narcolepsy: sleep attacks occuring DAILY for at least ___ months
answer
3
question
Tx for Intermittent Explosive Disorder =
answer
carbamazepine
question
Of the TCAs, _____ is the most serotinergic, so it is used in OCD.
answer
clomipramine
question
Prochlorperazine = ____. S/e = _____.
answer
anti-emetic, akathisia
question
Brief psychotic disorder: time =
answer
< 1 month
question
Delusional disorder: time =
answer
at least 1 month (Function is not impaired. Delusion = non-bizarre. Hallucinations may be present.)
question
Bulimia tx =
answer
SSRI
question
Presence of an affective disorder (along with schizophrenia) ____ risk for tardive dyskinesia.
answer
increases
question
Antipsychotics: ACUTE DYSTONIA is a side-effect. Tx =
answer
anticholinergics
question
3 anticholinergics
answer
diphenhydramine, benztropine, trihexyphenidyl (tx acute dystonia caused by neuroleptics)
question
2 lab results in Neuroleptic Malignant Syndrome:
answer
increased CPK, leukocytosis
question
3 S/Es of TCAs (e.g. imipramine):
answer
blurred vision / pupillary dilation (antimuscarinic effect), dry mouth (anticholinergic effect), orthostatic hypotension (a1-adrenergic effect)
question
Nortriptyline: class =
answer
TCA
question
Imipramine: class =
answer
TCA
question
Leading cause of overdose-related deaths in psychiatric population
answer
Nortriptyline (TCA. causes QT prolongation, cardiac arrhythmia, then death).
question
TCA that causes QT prolongation
answer
nortriptyline
question
Pseudoseizures vs. real seizures: If real, within ______ [prolactin] will double.
answer
1 hour
question
PTSD tx =
answer
sertraline
question
Prochlorperazine: S/e = ____ Tx = ____
answer
akathisia, anticholinergics (i.e. benztropine) (PREVENTION = concurrent admin of IV benzo)
question
Hallucinations, insomnia, tremor, GI distress, seizures.
answer
benzo withdrawal
question
Dysphoria, psychomotor agitation or retardation, fatigue.
answer
Cocaine withdrawal
question
Abdominal pain, chills, myalgias, NVD, piloerection
answer
Heroin withdrawal
question
Worst antipsychotic S/Es: Ziprasidone =
answer
QT prolongation
question
Worst antipsychotic S/Es: Clozapine =
answer
neutropenia, myocarditis
question
Antipsychotic LEAST associated with movement problems =
answer
clozapine
question
Weight-neutral antipsychotic =
answer
ziprasidone
question
Worst lamotrigine S/E =
answer
stevens-johnson syndrome (if titrated up too quickly. A rash is fairly normal, though... usually...)
question
Tx to relieve the autonomic sx of heroine withdrawal =
answer
anticholinergic (benztropine, diphenhydramine, trihexyphenidyl)
question
Tx for PCP intoxication =
answer
midazolam
question
Nystagmus, HTN, coma, hyperacusis, agitation, psychosis
answer
PCP intoxication (tx = midazolam)
question
Tx for ACUTE (acute!) mania =
answer
haloperidol
question
___ withdrawal includes elevated temperature
answer
benzo
question
If an antipsychotic (anticholinergic) ---> urinary S/Es, tx =
answer
bethanechol (cholinergic)
question
Enuresis: 1st-line tx =
answer
DDAVP (S/E = water intoxication, so watch out. Technically behavior therapy should be tried first.)
question
Enuresis: 2nd-line tx =
answer
Imipramine
question
____ = most common drug cause of depression
answer
propranolol
